bone-patella tendon-bone transfer

LTibbetts

Guest
Messages
717
Location
Bangor, Maine
Best answers
0
I have an op note for a arthroscopic repair of partial medial & lateral menisectomies and an open reconstruction of anterior cruciate ligament with bome-patella tendon-bone transfer. There was also an osteoplasty done during the open part of the procedure. The pt had a "locking" knee, not dislocating. I guess my questions are regarding the transfer and whether or not the osteoplasty would be coded as a separate open procedure as well.

I was going to use these codes :
29880
27407 or 27427
27599 (?)

I'm not sure what code to use for the graft.
Any help would be appreciated. I am fairly new at ortho coding (obviously)
 

LTibbetts

Guest
Messages
717
Location
Bangor, Maine
Best answers
0
I can't actually tell. He said he resected the retropatellar fat pad and entered the joint formally. I think it might have been the tibia. It was by the notch. Why would you use 27248? Did you mean 27428? Also, why wouldn't you use the 24707?
 

mbort

True Blue
Messages
2,336
Location
ENGLEWOOD/DENVER
Best answers
0
yes I transposed the #'s sorry, 27428 isthe correct code. The 27407 is for the repair of the ligament when in reality he is reconstructing it (or at least thats what I gathered without the op note). Even though the codes do not bundle, I feel that it was either one or the other, not both procedures performed. Also you would not need a 59 because the 27428 and 29880 do not bundle.

I would confirm where the osteoplast took place. There is a code for an osteoplasty of the tibia.

Hope this makes sense..if not..you know how to reach me :)
 
Top